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This paper reports findings of a study to determine whether shared decision making was associated with patient ratings of care quality and physician communication and whether patients’ preferred decision roles modified those associations.

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In this article, Jane Lewis summarises findings from a systematic review of studies from around the world published in the Journal of the American Medical Association (JAMA). The review found that patients have a tendency to overestimate the benefits of medical tests, treatments and screens, while underestimating their potential harms.

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This presentation sets out findings of an on-line survey of over 500 people with long term conditions. The survey showed that most patients want to be helped to help themselves, and reported that self management courses significantly reduce their visits to A&E, as well as to GP surgeries.

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This review is an update to previous reviews. It found evidence that, compared to usual care,use of decision aids improves people's knowledge regarding options; stimulates people to take a more active role in decision making; improves accurate risk perceptions when probabilities are included; and improves congruence between the chosen option and the patient's values.

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This article describes exploratory work using option grids and that clinicians found that using Option Grids made it easier to explain the existence of options and reported a ‘handover’ effect, where patient involvement in decision making was enhanced.

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This report brings together evidence and provides an up-to-date single reference point for the current state of knowledge about shared decision making. This evidence shows that shared decision making improves patient’s satisfaction, involvement in their care and knowledge of their condition.

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In this article, Dr Steven Laitner, National Clinical Lead for the Right Care Shared Decision Making Programme, briefly explores the benefits of shared decision making and highlights work by the Right Care shared decision making programme to develop patient decision aids.